Provider Demographics
NPI:1912937715
Name:FEUERSTEIN, PAUL (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:FEUERSTEIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6785 PISANO DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5926
Mailing Address - Country:US
Mailing Address - Phone:561-963-6555
Mailing Address - Fax:
Practice Address - Street 1:HUMANA MAIL INC. 1835 S. PERIMETER RD
Practice Address - Street 2:SUITE 140
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-7101
Practice Address - Country:US
Practice Address - Phone:954-776-6299
Practice Address - Fax:877-825-3737
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 14746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist